<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" >
	<head>

	</head>
	<body>
<table  align="center">
<tr>
	<td valign="middle">
<table border="1" width="800px" height="1132px" border="1" BACKGROUND="{bg_image}"style="padding: 10px;color:#a1a1a0" align="top" class="deepsea">
<tr>
	<td style="border:none ; height:220px"" colspan="6" align="center">

	</td>
</tr>
<tr style="border:none">
	<td width="60" style="border:none">
	&nbsp;
	</td>
	<td colspan="4" align="center" style="border:none;vertical-align:middle;" >
		<bold><strong style="font-size:24px;color:#000000">VALUATION DOCUMENT FOR INSURANCE</strong></bold>
	</td>
	<td width="60" style="border:none">
	&nbsp;
	</td>
</tr>

<tr style="border:none;color:#000000; height:30px;">
	<td width="60" style="border:none">
	&nbsp;
	</td>
	<td  valign="top" style="border:none;text-align:right;">
		&nbsp;{name_text}	&nbsp;
	</td>
	<td valign="top" style="border:none">
	{name}	
	</td>
	<td valign="top" style="border:none;text-align:right;">
		&nbsp;{jeweller_text}&nbsp;
	</td>
	<td valign="top" style="border:none">
		{jeweller_name}
	</td>
	<td width="60" style="border:none">
	&nbsp;
	</td>
</tr>
<tr style="color:#000000; height:50px;">
	<td width="60" style="border:none">
	&nbsp;
	</td>
	<td  valign="top"  style="border:none;text-align:right;">
	{address_text}	&nbsp;
	</td>
	<td valign="top" style="border:none">
	{shipping_address}	
	</td>
	<td valign="top" style="border:none;text-align:right;">
	{address_text}&nbsp;
	</td>
	<td valign="top" style="border:none">
		{jeweller_address}
	</td>
	<td width="60" style="border:none">
	&nbsp;
	</td>
</tr>
<tr style="color:#000000">
	<td width="60" style="border:none;">
	&nbsp;
	</td>
	<td colspan="4" align="center" style="border:none">
		<table>
		<tr style="border:none">
			<td colspan="2" style="border:none">
				<strong>{document_no}</strong>
			</td>
		</tr>
		{content}
		</table>
	</td>
	<td width="60" style="border:none">
	&nbsp;
	</td>
</tr>
<tr>
	<td valign="top"  colspan="6" style="{date_style}" align="left">
		<strong>{date}</strong>
	</td>
</tr>

</table>
</td>
</tr>
</table>
</body>
</html>